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HomeMy WebLinkAboutMIS99-00670 Demo - MIS Permit / Conditions - 10/3/2001 MASON SO COUNTY r Mason County Bldg. III 426 W. Cedar M II �C: E �. t.^N E= C)I') P.O. Box 186 Shelton, Washington 98584 NSPECT I ON : CAL I. 427-9670 MIS99-0670 PARCE FIAT : K :? L_OT !7 JOB ADDRESS a 461 NE MOUNTAIN VIEW D14 TAHUYA APPLICANT : NICK GALLIAP.DI 2755315 OWNER : NICK B GAGLIARDI 2755315 �. LEGAL : Neotee lase Tracts 25-26. PROJECT DESCRIPTION : PERMIT Demolish unoccup I Psi mobile home NULL & VOID SY EXPIRATION PROJECT LOCATION NE461 MT . VIEW DR . TAHUYA LAKE WOOTEN PERMIT NUL VOID BY EXPIRATION PROJECT NOTES : DATEI � ��—BY� TYPI AMOUNT BY DATE RECEIPT S'_igSi•CS'.'�^.iEF:CS"_Y'.1'.l^'Si�:.��i':�IY;� - DEMO $ 42 .00 KKK 10/ 12/99 1675 STFE $ 4 .50 KKK 10/ 12/99 1675 TOTAL : 46 .50 OWNER OR AGENT DATE NIS-PONT, retF i 0411114 COMPLIANCE TO ATTACHE© CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by 1 MASON COUNTY Mason County Bldg. III 426 W. Cedar ` P.O. Box 186 Shelton, Washington 98584 P E R f\4 1 _U C: C3 N C") I ?- I C 1 N Case No . , MIS99- 0670 For : NICK 6 GAGL. IARDI Page -, 1 ' 1 ) THE DEMOLITION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET RF(JUIRE'MENT'S AS PER MASON COUNTY REGULATIONS . X 2 ) PURSUANT TO 1997 UNIFORM BUILDING CODE , ALL S P TE MUST BE MARKED WITH APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A WOS I IJON AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPl=CTION FEE , BASED ON RATES .ADOPTED FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . " X 3 ) CON`:.TRUCTION PROCESS TO BE FIELD CORRECTED AS REO01RED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . x FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD PERMIT NO.: MASON COUNTY DEMOLITION PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INEFDRWTIONi� Owner ,: & Contractor Name fl Mailing ddr ss !� I-I, Mailing Address 1/1e City' ' c�f_ State Zip Code City Stale Zip Code Phone Other Ph.(� Ph.(� Other Ph.( ) Lien/Title Holder Contractor Reg. # Address Expiration PARCEL INFORMATION-12 digit Tax Parcel No.,-2� Fire District Legal Description ± Site Address(include street name and city !=lz> U Wi4 '5 Directions to site: L/� {,,t�7t/T) f /` FI Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs If your project is located adjacent to or within an area that is listed above, it is advisable to contact the Dept. of Community Development regarding future development prior to demolition; since removal of an existing structure could affect future building locations. How will the debris be disposed of? What is the use of the building being demolished? /%'/ i LE V i NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtainin ppr Ial. be made without first obtaining approval. Dat'��, X Date Provide a plot plan indicating location of improvements and structure to be demolished. FOR OFFICIAL USE BEYOND THIS PINT Accepted by Datel" I-Z - Submittal Amount Due y Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department r Occ Grp Type of Const. `0 l Planning Department Fire Marshal FEES Building Permit Fee Other Violation Fee Other 50 Site Inspection Pre-Paid at Submittal ( ) T OTAL FEE S —L ti Conditions of this Case are listed below: Demolition 1) PURSUANT TO 1991 UNIFORM BUILDING CODE, SECTION 305(C) AND SECTION 513, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 2) THE DEMOLITION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNTY REGULATIONS. X